Milton E. Becknell, PH.D., LLC.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5682 Issued in OH

Legal business name

MILTON E. BECKNELL, PH.D., LLC.

Practice address

7244 Far Hills Ave
Centerville, OH 45459-4207

Phone

(937) 684-2035

Fax

(937) 395-1311

NPI assigned

Apr 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Milton Edward Becknell, PH.D.

Title

Clinical Psychologist

Phone

(937) 684-2035

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1497921332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 FAR HILLS AVE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594207",
            "telephone_number": "937-684-2035",
            "fax_number": "937-395-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 FAR HILLS AVE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594207",
            "telephone_number": "937-684-2035",
            "fax_number": "937-395-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON E. BECKNELL, PH.D., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "BECKNELL",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-684-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7155596",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "500973319",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD; BLUE CROSS BLUE SHIELD FEDERAL",
            "identifier": "000000351504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott S Miller, PT
• Cameron J Mills
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• Angela Beth Minton, RN
• Susanne Mitchell, PCC-S
• Tiarra Mitchell, PSYD
• Mobility Fit Physical Therapy LLC

• Clinical Psychologist in Centerville, OH
• Providers in Centerville, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.